Fentanyl Every 48 Hours

43 Topics Found

My ex-husband has had 5 lower back surgeries and has permanent nerve damage. He also has rods and pins in his back that one screw pushed on his spinal cord and had to be removed-lots of scar tissue. He's having a neurologist for many years. My ex has been on fentanyl 100 patch putting a new patch every 48 hours and oxycotin 5 was 6 times a day now he has been cut to 4 a day. His doctor won't give him any higher dosage and in extreme debilitating pain. He was in pain management years ago, but the doctor changed his percocet he took then and put him on morphine. He took to many for the week he was on it. It wasn't working and let pain management doctor know it and was thrown out of pain management. He of course is addicted. His meds of course aren't working very well any m...

2 REPLIES Filed under Fentanyl

My question concerns drug conversion. The Fentanyl works well, most of time, for my chronic pain, but my insurance now says I can only get it again in March of 2015. This is still Oct., 2014, so I will be out of patches at end of October. I don't understand this, because just stopping the patches would/will cause terrible withdrawal, because if you are only couple days late, withdrawal starts. This happened also recently as my dr. changed (at my request to try something else)100 mcg. patch to only 15 mg. of morphine ER every 12 hours, because of patches costing almost $400 for one month, which I cannot afford, due to "doughnut hole". The change made be very sick within two days, so I had to go back to patches. I didn't think the 15 mg. extended release morphine was enoug...

13 REPLIES Filed under Morphine

hi i have been on these patches for 4 months now but i still have pain ## Have you consulted your doctor? Do you have any medications for breakthrough pain? Usually, for proper pain management, something long acting like the Fentanyl is used and then some that works immediately, or a regular release medication, is also given for those times the pain is too much for the long acting medication to completely control. ## I am on 25mcgs of fentynal patches every 72 hours, plus 10/325 pecocet 1 every 4-6 hours for BT pain.The Percocet doesn't do much, and is very similar to my previous prescription of Norco and the patch isn't strong enough and runs out after 48 hours. I am going to ask for 48 hours, and 50mcgs on the patch, and switching to oxycontin for B.T. pain.Hows that sound to ...

5 REPLIES Filed under Fentanyl

Should a 12mcg/hr Fentanyl patch last longer than 6-7 hrs? I'm on a patch and it doesn't seem to work. ## Yes, they usually last about 72 hours, according to FDA reports, though some people with very severe pain change them every 48 hours. The NIH warns that this medication carries the risk of being habit forming and may cause side effects, such as nausea, dizziness, headache, constipation, and dry mouth. How long have you been using it? Are you on any other medications?

1 REPLY Filed under Fentanyl

I need to get off of Fentanyl but can't find any help. Where can I get some help for withdrawal on Fentanyl patches in the Atlanta Georgia area? ## Faye, if you still need help, get a doctor to prescribe you tramadol. I cold turkeyed off fentanyl over 6 months ago, and my doctor told me afterward that if I needed it, he would have given me tramadol. My withdrawal wasn't too bad, just a little insomnia. I was only on 100 MG fentanyl patches every 48 hours for 2 years. But my doctor said tramadol is the best thing to withdraw from opium-based drugs. ## Faye, it would be best to consult your doctor, they can help you set up a safe, and tolerable tapering schedule to help you stop using the Fentanyl. The FDA warns that this medication carries the risk of being habit forming, and may...

3 REPLIES Filed under Fentanyl

Is this system still under development? I've used Mylan fentanyl transdermal patches for several years. Started with 50 ug/hr and now using 75 ug/hr. Of the three day cycle, the first day is good - effective pain reduction without "druggy" side effects. The second day is usually pretty good if I haven't been too active physically. The third day usually sucks to the point that some days I don't even get out of bed. Based in my experience, it doesn't appear likely that going to 100 ug/hr patches would help. On the other hand, being able to have some control over dose rate seems promising. ## Hello, Zippo! How are you? I'm sorry, but I have no information on this. However, these patches can also be prescribed to be changed every 48 hours, rather than every 72, s...

1 REPLY Filed under E-TRANS Fentanyl

I've been on Fentanyl 25mcg every 48 hours for 3 1/2 years and want taper off. I'm finding it hard to stretch them to 72 hours, only made it to 60 hours. Also take 4-5 Norco 10/325. I'm wondering if it's possible to trim my Mylan patches to 2/3-3/4 in size to start tapering. I'm thinking of asking my pain management Dr to reduce dose to 12.5 at next appt in 2 weeks but want to start tapering ASAP. ## Hello, John! How are you? No, it is not safe to cut the patches to try and do that. That could actually cause you to absorb too much of the narcotic, at once, which could cause an overdose, since this is a very potent narcotic. This is a narcotic analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry ...

3 REPLIES Filed under Fentanyl

How many percocets equal the 100mcg patches changed every 48 hours ## Hello, Tina! How are you? Fentanyl is the most potent opiate available, so you'd actually need several hundred milligrams of Oxycodone to equal a 100mcg patch and you can't take enough Percocet to be equal to it. Percocet contains Acetaminophen and Oxycodone, you'd overdose, especially on the Acetaminophen, before you ever reached the same level of efficacy. Even if you tried to space it over 2 days, as you would the patch. The FDA lists these medications as being narcotic analgesics, so they have potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation. Has your doctor switched you form one to the other? ## okay? I have a question on pain ...

5 REPLIES Filed under Fentanyl

I've been on a 25mcg and 12mcg Fentanyl patch now for about 6 mos. I change them every 48 hours. I get 15 of each per month. Lately I've not been getting the pain relief I did in the beginning. I would like to titrate up to the 50mcg patch. I think that would make a big difference, but I don't want my pain dr. to think I'm abusing it. Is is too soon to move to a higher dose? I mean is there a general time period for titrating up? Any help will be greatly appreciated thanks. ## I was started on the 25mcg change every 72hrs., my doc. took me up to the 50 mcg every 72 hrs in 2 months, said the 25 was just a starter. I am on the 75mcg every 72 hrs plus hydro's for break thru pain now. I will be going up again soon, my pain doc. says your body adjusts to it after time. I ...

3 REPLIES Filed under Fentanyl

Hello. I am on the fentanyl patch, 125mcg every 72 hours. And ever since starting the patch I have been able to once again be more active. I exercise for an hour every morning and walk in the evening. My dr said the patch will last me 72 hours but by 48 and sometimes less, my pain begins to return and I start feeling withdrawl symptoms I use to feel on oxy or percs. I've tried telling my dr that I need to change every 2 days but he insists that this does not happen to anyone else. Does anyone here have the same issues? And are you feeling better results from different brands of the patch? ## Hello, Jessica! How are you? Your morning exercising may be causing the problem. There are actually warnings with the Fentanyl patch that tell you that anything you get hot, sweaty or overheated...

49 REPLIES Filed under Fentanyl

Hello all, hope this message/question finds you well! So I've got a question, but before I ask I'll give some background information: I've been on varying strengths of the Fentanyl patches for almost 10 years for a failed spinal fusion, continued chronic pain due to the fusion degenerating the discs above it, and also for Fibromyalgia. But for the last 3-4 years I've been on 75mcg changed every 48 hours and this has worked super well for me. I am currently using the brand Actavis and it has the gel reservoir. Anyway, I've been through withdrawals before, but this last time seemed different. I usually start having withdrawals within the first 12-36 hours and I'm talking about severe vomiting (with sweats and chills) that can't be helped by any of the anti-naus...

1 REPLY Filed under Fentanyl

I have been prescribed Fentanyl every 48 hours for a few years now. Since this latest CDA recommendation, my pain clinic doctor has reduced me from 100mcg down to a 75mcg, and he claims he is required by CDA to lower me even more! I have severe chronic pain and I am 56 years old. But he claims the CDA wants all his patients drastically reduced or taken off meds. When I researched that claim and showed him that the CDA has only made suggestions, he is now saying the FDA doesn't want Fentanyl to be prescribed q48 anymore - he says he is now going to make me go a full 72 hours!! I cannot be reduced any further, I can barely function at work as it is because the pain is no longer under control now. Is he lying to me? How can they mandate Fentanyl must be worn 72 hours when there's s...

4 REPLIES Filed under Fentanyl

My dad has lung cancer and a rupture aorodia. And is blind and hospices. Has him on 25mcg/hr and they won't Change it 48 hr when it stops working has to be every 72 he put one on Monday. At 4pm and gets another one thru. Is this right and this is the only pain meds he on other than clonazepam 1mg. So is this right? Just wondering cause he stays in pain. ## Hello, Brandy! How is your dad doing? Yes, 72 hours is the normal dosing duration, though if necessary it can be changed every 48 hours. They can also raise the dosage, if necessary. The FDA classifies this medication as a narcotic analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation. However, given his condition, they may reluctant to ...

3 REPLIES Filed under Fentanyl

I can't seem to find a straight answer. I'm stopping the 12 mcg fentanyl patch (with Drs instructions). I have 7.5mg Percocet for withdrawal for a few days but everyone is leaving me believe my withdrawal won't be too bad. I called the pharmacist. She said withdrawal will last 48 hours. That seems too good to be true. So, anyone know?! ## It really depends on the person and how long they've been on it, so you may not experience any withdrawal symptoms, or you may experience them for a few weeks, there's no way to be certain. I believe the pharmacist may have been referring to how long it takes to exit your body, which is approximately 48 hours after last use. The FDA warns that possible withdrawal effects could include nausea, vomiting, chills, rebound pain and diarr...

5 REPLIES Filed under Fentanyl

My doctor and insurance are now forcing me to wear the patch for 72 hrs instead of my usual 48 hr change. I am having a very rough time after about the 30 hour mark once the patch goes into half live. What is the closest generic patch that matches the Duragesic brand? I am finding that all generics are not close to the brand. ## I used to be on fentanyl patches for years and I had to change them every 48 hours or I went into withdrawals. I live in the tropics and apart from rapid absorption after 2 days a layer of fat and salt film accumulates between the adhesive and the skin reducing delivery. ## I was on the fentanyl patch for years for my chronic pancreatitis. The brand/generic thing is complicated when it comes to painting meds especially the patch versions. Their delivery systems ...

18 REPLIES Filed under Fentanyl

I just got blood test results showing elevated liver ensymes. I take percodan 10/325 3xday. I also take fentanyl patch 25 every 48 hours. What meds could replace these in reguards to the elevated liver enzymes ? ## Hello, Trish! How are you? The elevated enzymes are most likely caused by the oral medication, not the patch, since it isn't processed directly through the liver. There are formulations of Oxycodone available without anything else added that your doctor can prescribe, so it won't have as much of an impact on your liver as the Percodan does. This is a narcotic analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation. How high are your enzymes levels? ## My alt is 46 and ast is 5...

4 REPLIES Filed under Fentanyl

I have my appointment with pain management tomorrow. I am on fentanyl patch 25 every 48 hours and norco 10/325 four times a day it isn't working and my quality of life stinks any suggestions what I could be switched to. Since it has to be done when I see him. ## I need help finding a stronger or different medicine for my pain management . Fentanyl patch 25 every 48 hours and norco 10/325 four times a day it wears off to fast and I can't enjoy my life ## I would be surprised if your pain doc. didn't put you a higher patch. The 25mg is just a starting dosage to see how you tolerate the drug. I was on a 25. every 72 hrs. plus narco's as needed, then upped 50mg every 72hrs. Now am on 75mg. every 72 hrs. plus narco's as needed and get good pain relief from that plus twice...

18 REPLIES Filed under Fentanyl

My doctor changed my patch dose from every 72 to every 48 hours. 75 mcg dose. My insurance refused to allow it. I have AARP (united healthcare). For me it would have been much better as on the third day I get no relief.... ## Hello, Aaron! How are you? I am very sorry about what happened. Most insurances will not cover it being used every 2 days, instead of every 3, unless someone has intractable due to a possibly fatal condition such as stage 4 cancer. I know that isn't really helpful, or comforting, I am just stating the facts. The FDA warns that this medication carries the risk of being habit forming and may cause side effects, such as nausea, dizziness, headache, constipation, and dry mouth. Has your doctor made any other suggestions? They might be able to prescribe an additiona...

3 REPLIES Filed under Fentanyl

Hello. I have been on 25 mcg of fetanyl patch every 48 hours for 9 months and 15mgs of oxycodone 4 times daily for breakthrough pain. I am thinking about getting off of the patch. How much Opana or (Oxymorphone) would be the equivalent of 25mcg of the fentanyl patch? How much Opana or (Oxymorphone ER) would be the best dose to switch to with no withdrawals? ## Hello Gia! How are you? Is the patch helping? Why do you wish to stop using it? You need about 2.8mgs of Oxymorphone to be equivalent to each 25mcg Fentanyl patch, but there are going to be differences in the time release duration, and dosing frequency. On your doctor can help you decide if your doing so would be safe for you, and the best way to do so. The FDA warns that these medications carry the risk of being habit forming, an...

1 REPLY Filed under Opana

If you are taking a fentanyl patch of 100 every 48 hours what is the next step that is necessary to help control the pain.b ## Hi, Bernie! How are you? On this, I really have to admit that I'm not sure. Fentanyl is the strongest opiate narcotic available to treat pain, so I'm not sure where else you could go. In some extreme cases, I do know that doctors have resorted to combining patches for someone that's grown tolerant to the highest dosage and is very tolerant to opiates in general, so that's possibly an option. Though this is usually reserved for those with intractable pain due to cancer or other severe, life threatening illnesses. In some cases, they can hit a point where comfort and quality of life outweigh the fear of prescribing too high of a dosage. Learn more ...

1 REPLY Filed under Fentanyl

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